C HAPTER 12: A DULTHOOD AND THE F AMILY
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. A 48-year-old woman asks the clinic nurse about symptoms she has
experienced, such as trouble sleeping, because she wakes up feeling hot
and sweat y. She has also felt tired and depressed about aging. The most
helpful nursing response would be:
a. “You may have an illness that the doctor should evaluate.”
b. “It sounds to me as though you might have symptoms of
menopause.”
c. “You’re too young to be going through menopause. Are you worried
about anything?”
d. “Those symptoms are all related to aging, and there’s not much to
do about it.”
ANS: B
Symptoms of menopause often occur before the cessation of menses
and are treatable. They are not a disease or illness but part of normal
development.
DIF: Cognitive Level: Application REF: p. 167 OBJ:
Clinical Practice #3 TOP: Menopause KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Basic Care and Comfort
,2. The nurse reviews the medications of a 52 -year-old woman in the
outpatient clinic to confirm that her calcium dose has been:
a. increased to 1200 mg/day.
b. reduced to 1000 mg/day.
c. replaced by a dail y dose of vitamin D.
d. augmented with glucosamine.
ANS: A
Women over the age of 51 should increase their calcium to 1200 mg a
day. Vitamin D is also important to help utilize the calcium.
DIF: Cognitive Level: Application REF: p. 167 OBJ:
Clinical Practice #2 TOP: Calcium Replacement KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Pharmacological Therapies
3. A nurse is instructing a patient about the prevention of automobile
accidents and remin ds the 65-year-old patient that he may be prone to an
accident because of:
a. increasing speed of traffic.
b. his tendency to be distracted.
c. a slower reaction time.
d. reduced strength.
ANS: C
Among the changes associated with age is the slowed reaction time.
, DIF: Cognitive Level: Completions REF: p. 167 OBJ:
Theory #6 TOP: Changes Associated with Age KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
4. A primary care provider has ordered a Mantoux test. Th e patient asks the
purpose of this test. The nurse tells the patient this test is done to screen
for:
a. Lyme disease.
b. lung cancer.
c. valley fever.
d. tuberculosis.
ANS: D
Periodic Mantoux tests are advised to screen for tuberculosis.
DIF: Cognitive Level: Know ledge REF: p. 164 OBJ:
Clinical Practice #1 TOP: Screening Tests KEY: Nursing
Process Step: Implementation MSC: NC LEX: Health
Promotion and Maintenance: Prevention of Disease and Earl y
Detection of Disease
5. When the nurse in a long -term facilit y observes a resident bringing his
reading material very close to his face, the nurse assesses that the patient
is experiencing:
a. presbyopia.
b. myopia.
c. presbycusis.
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. A 48-year-old woman asks the clinic nurse about symptoms she has
experienced, such as trouble sleeping, because she wakes up feeling hot
and sweat y. She has also felt tired and depressed about aging. The most
helpful nursing response would be:
a. “You may have an illness that the doctor should evaluate.”
b. “It sounds to me as though you might have symptoms of
menopause.”
c. “You’re too young to be going through menopause. Are you worried
about anything?”
d. “Those symptoms are all related to aging, and there’s not much to
do about it.”
ANS: B
Symptoms of menopause often occur before the cessation of menses
and are treatable. They are not a disease or illness but part of normal
development.
DIF: Cognitive Level: Application REF: p. 167 OBJ:
Clinical Practice #3 TOP: Menopause KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Basic Care and Comfort
,2. The nurse reviews the medications of a 52 -year-old woman in the
outpatient clinic to confirm that her calcium dose has been:
a. increased to 1200 mg/day.
b. reduced to 1000 mg/day.
c. replaced by a dail y dose of vitamin D.
d. augmented with glucosamine.
ANS: A
Women over the age of 51 should increase their calcium to 1200 mg a
day. Vitamin D is also important to help utilize the calcium.
DIF: Cognitive Level: Application REF: p. 167 OBJ:
Clinical Practice #2 TOP: Calcium Replacement KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Pharmacological Therapies
3. A nurse is instructing a patient about the prevention of automobile
accidents and remin ds the 65-year-old patient that he may be prone to an
accident because of:
a. increasing speed of traffic.
b. his tendency to be distracted.
c. a slower reaction time.
d. reduced strength.
ANS: C
Among the changes associated with age is the slowed reaction time.
, DIF: Cognitive Level: Completions REF: p. 167 OBJ:
Theory #6 TOP: Changes Associated with Age KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
4. A primary care provider has ordered a Mantoux test. Th e patient asks the
purpose of this test. The nurse tells the patient this test is done to screen
for:
a. Lyme disease.
b. lung cancer.
c. valley fever.
d. tuberculosis.
ANS: D
Periodic Mantoux tests are advised to screen for tuberculosis.
DIF: Cognitive Level: Know ledge REF: p. 164 OBJ:
Clinical Practice #1 TOP: Screening Tests KEY: Nursing
Process Step: Implementation MSC: NC LEX: Health
Promotion and Maintenance: Prevention of Disease and Earl y
Detection of Disease
5. When the nurse in a long -term facilit y observes a resident bringing his
reading material very close to his face, the nurse assesses that the patient
is experiencing:
a. presbyopia.
b. myopia.
c. presbycusis.
